{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T17:05:31Z","timestamp":1777223131584,"version":"3.51.4"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,10,10]],"date-time":"2014-10-10T00:00:00Z","timestamp":1412899200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the reliability of two techniques of cervical ripeness assessment at the beginning of labor induction, as assessed by inexperienced observers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 120 women were prospectively studied at admission for labor induction. Two independent physicians examined consenting women successively but separately. One experienced consultant and one of the six first\u2010year obstetrics residents composed the pairs of observers. The trainees had very limited prior experience with cervical ultrasound scan or evaluating <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>ishop score. Cervical length and <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>ishop score were evaluated according to standard methodology. Reliability was described by intraclass correlation coefficients (<jats:styled-content style=\"fixed-case\">ICC<\/jats:styled-content>) and coefficients of variation (<jats:styled-content style=\"fixed-case\">COV<\/jats:styled-content>). Ultrasound cervical length was plotted according to the <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>land\u2013<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ltman method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>ishop score and mean cervical length were similar for all observers. Ultrasound cervical length and <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>ishop score were highly reliable when evaluated by first\u2010year residents. Ultrasound cervical length showed the highest interobserver agreement, with <jats:styled-content style=\"fixed-case\">ICC<\/jats:styled-content> values over 0.9 and <jats:styled-content style=\"fixed-case\">COV<\/jats:styled-content> values of approximately 10% or less for all trainees. The <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>ishop score was also reliable, but with lower <jats:styled-content style=\"fixed-case\">ICC<\/jats:styled-content> and higher <jats:styled-content style=\"fixed-case\">COV<\/jats:styled-content> values.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>ishop score and ultrasound cervical length examination for the management of labor induction are accurate and easy to learn by inexperienced first\u2010year residents. However, cervical length showed higher reliability than the <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>ishop score.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12553","type":"journal-article","created":{"date-parts":[[2014,10,10]],"date-time":"2014-10-10T05:40:29Z","timestamp":1412919629000},"page":"377-382","source":"Crossref","is-referenced-by-count":10,"title":["Cervix assessment for the management of labor induction: Reliability of cervical length and <scp>B<\/scp>ishop score determined by residents"],"prefix":"10.1111","volume":"41","author":[{"given":"Raquel","family":"Garcia\u2010Simon","sequence":"first","affiliation":[{"name":"Obstetrics Department University Hospital of Lozano Blesa  Zaragoza Spain"},{"name":"Institute of Health Sciences  Zaragoza Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Oros","sequence":"additional","affiliation":[{"name":"Obstetrics Department University Hospital of Lozano Blesa  Zaragoza 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